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Grant Details

Grant Number: 7R01CA081495-04 Interpret this number
Primary Investigator: Patrick, Kevin
Organization: University Of California San Diego
Project Title: Pace+-Counseling Adolescents for Exercise and Nutrition
Fiscal Year: 2003


Abstract

Description (adapted from the investigator's abstract): Improved physical activity (PA) and nutrition behaviors in adolescents show great promise to reduce risk of cancers and other disease. Fewer than 20 percent of adolescents meet recommendations for fat or fruits and vegetable consumption, and only 50 percent of adolescent girls and 67 percent of boys meet recommendations for vigorous PA. In this project we will evaluate an integrated clinical and home-based intervention to improve PA and nutrition behaviors in adolescents. PACE+ has 3 integrated components: a computer assessment and action planner; provider counseling and 12 months of extended phone & mail contact. Pilot study results (n=117) demonstrate that PACE+ shows substantial promise in maintaining healthy and/or improving poor nutrition & PA behaviors. We will recruit 768 male and female adolescents age 11 through 15 seen in 6 healthcare settings. Subjects will be randomly assigned within practices to 2 successive one-year "doses" of PACE+ or a comparison condition involving counseling for sun protection behaviors. PACE+ assesses 4 behaviors: 1) dietary fat, 2) fruits & vegetable consumption, 3) moderate PA, and 4) vigorous PA. PACE+ also assesses stage of change and psychosocial mediators of behavior change. PACE+ guides the adolescent to select 1 nutrition and 1 PA target behavior for which they develop action plans to discuss during the provider encounter. The provider endorses or modifies the action plan and encourages participation in the extended phone and mail intervention. Phone counseling, mailed and print materials guide the adolescent to use cognitive & behavioral skills to make changes in target nutrition and PA behaviors. At 6 months (midway through the extended component of PACE+) participants are reassessed and receive stage-appropriate intervention on the remaining 2 diet & PA behaviors. The sun comparison condition has theory-based computer, provider, phone & mail components controlling for attention and other non-specific intervention effects. Primary behavioral outcomes, secondary outcomes, and selected mediators and process variables will be measured prior to the first office visit and at 6, 12, and 24 months. Primary outcomes will be measured using the 7-day physical activity recall and the 3-day food records of fruits, vegetables and fat intake at 12 months. Secondary outcomes include adiposity, fitness, BMI, psychosocial mediators of change, body image, and other measures. This study will be the first to evaluate a combined physical activity and nutrition intervention for youth that revolves around the primary health care setting. The PACE+ intervention is particularly innovative in that 3 components--computer, provider counseling, and an extended home-based intervention--are unified through a common theoretical framework.



Publications

A latent profile analysis of neighborhood recreation environments in relation to adolescent physical activity, sedentary time, and obesity.
Authors: Norman G.J. , Adams M.A. , Kerr J. , Ryan S. , Frank L.D. , Roesch S.C. .
Source: Journal of public health management and practice : JPHMP, 2010 Sep-Oct; 16(5), p. 411-9.
PMID: 20689390
Related Citations

Reconceptualizing decisional balance in an adolescent sun protection intervention: mediating effects and theoretical interpretations.
Authors: Adams M.A. , Norman G.J. , Hovell M.F. , Sallis J.F. , Patrick K. .
Source: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2009 Mar; 28(2), p. 217-25.
PMID: 19290714
Related Citations

Exercise aids, neighborhood safety, and physical activity in adolescents and parents.
Authors: Kerr J. , Norman G.J. , Sallis J.F. , Patrick K. .
Source: Medicine and science in sports and exercise, 2008 Jul; 40(7), p. 1244-8.
PMID: 18580403
Related Citations

Validating stage of change measures for physical activity and dietary behaviors for overweight women.
Authors: Robinson A.H. , Norman G.J. , Sallis J.F. , Calfas K.J. , Rock C.L. , Patrick K. .
Source: International journal of obesity (2005), 2008 Jul; 32(7), p. 1137-44.
EPub date: 2008-05-20.
PMID: 18490930
Related Citations

Covariation of adolescent physical activity and dietary behaviors over 12 months.
Authors: Rosenberg D.E. , Norman G.J. , Sallis J.F. , Calfas K.J. , Patrick K. .
Source: The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2007 Nov; 41(5), p. 472-8.
EPub date: 2007-08-29.
PMID: 17950167
Related Citations

Body image and self-esteem among adolescents undergoing an intervention targeting dietary and physical activity behaviors.
Authors: Huang J.S. , Norman G.J. , Zabinski M.F. , Calfas K. , Patrick K. .
Source: The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2007 Mar; 40(3), p. 245-51.
EPub date: 2007-01-05.
PMID: 17321425
Related Citations

A randomized trial of a multicomponent intervention for adolescent sun protection behaviors.
Authors: Norman G.J. , Adams M.A. , Calfas K.J. , Covin J. , Sallis J.F. , Rossi J.S. , Redding C.A. , Cella J. , Patrick K. .
Source: Archives of pediatrics & adolescent medicine, 2007 Feb; 161(2), p. 146-52.
PMID: 17283299
Related Citations

Patterns and correlates of physical activity and nutrition behaviors in adolescents.
Authors: Sanchez A. , Norman G.J. , Sallis J.F. , Calfas K.J. , Cella J. , Patrick K. .
Source: American journal of preventive medicine, 2007 Feb; 32(2), p. 124-30.
EPub date: 2006-12-29.
PMID: 17197153
Related Citations

Psychosocial correlates of fruit, vegetable, and dietary fat intake among adolescent boys and girls.
Authors: Zabinski M.F. , Daly T. , Norman G.J. , Rupp J.W. , Calfas K.J. , Sallis J.F. , Patrick K. .
Source: Journal of the American Dietetic Association, 2006 Jun; 106(6), p. 814-21.
PMID: 16720122
Related Citations

Construct validity of physical activity and sedentary behaviors staging measures for adolescents.
Authors: Hagler A.S. , Calfas K.J. , Norman G.J. , Sallis J.F. , Patrick K. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2006 Apr; 31(2), p. 186-93.
PMID: 16542134
Related Citations

Randomized controlled trial of a primary care and home-based intervention for physical activity and nutrition behaviors: PACE+ for adolescents.
Authors: Patrick K. , Calfas K.J. , Norman G.J. , Zabinski M.F. , Sallis J.F. , Rupp J. , Covin J. , Cella J. .
Source: Archives of pediatrics & adolescent medicine, 2006 Feb; 160(2), p. 128-36.
PMID: 16461867
Related Citations

Psychosocial and environmental correlates of adolescent sedentary behaviors.
Authors: Norman G.J. , Schmid B.A. , Sallis J.F. , Calfas K.J. , Patrick K. .
Source: Pediatrics, 2005 Oct; 116(4), p. 908-16.
PMID: 16199700
Related Citations

Comparability and reliability of paper- and computer-based measures of psychosocial constructs for adolescent physical activity and sedentary behaviors.
Authors: Norman G.J. , Sallis J.F. , Gaskins R. .
Source: Research quarterly for exercise and sport, 2005 Sep; 76(3), p. 315-23.
PMID: 16270708
Related Citations

Keeping it simple: encouraging walking as a means to active living.
Authors: Norman G.J. , Mills P.J. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2004 Dec; 28(3), p. 149-51.
PMID: 15576251
Related Citations




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